Vascular sodium pump: endothelial modulation and alterations in some pathological processes and aging.

Abstract:

:The vascular Na+ pump maintains intracellular ionic concentration and controls membrane potential. Its inhibition by cardiac glycosides enhances the intracellular Na+ concentration. This in turn activates the Na+-Ca2+ exchange mechanism, which induces intracellular Ca2+ increase, membrane depolarization, and noradrenaline release from perivascular adrenergic nerve endings; mechanisms that promote vasoconstriction. This article reviews the relevance of the Na+ pump in vascular tone regulation and the modulation of its activity by the endothelium. The endothelium negatively modulates the vasoconstriction elicited by Na+ pump inhibition by the release of nitric oxide, according to some authors, or an unknown factor, as suggested by others. The possible existence of endogenous digitalis-like factors is also reviewed, as is the involvement of the vascular Na+ pump in some cardiovascular disorders and aging.

journal_name

Pharmacol Ther

authors

Marín J,Redondo J

doi

10.1016/s0163-7258(99)00037-6

subject

Has Abstract

pub_date

1999-12-01 00:00:00

pages

249-71

issue

3

eissn

0163-7258

issn

1879-016X

pii

S0163725899000376

journal_volume

84

pub_type

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